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Debates and Panels

Sling Selections and What to do When They Fail! 

Thursday, October 5 | 1:30 pm - 2:00 pm
Speakers: Holly Richter, MD, PhD and Matthew Barber, MD
Moderator: Lyndsey Hayward

This discussion will provide an evidence-based approach to the surgical management of stress urinary incontinence (SUI). Full length midurethral slings are placed via a retropubic or transobturator approach and data exists which may guide an individualized approach. Midurethral slings are the current gold-standard treatment for the primary surgical management and have been used for over 20 years. It is also reasonable to consider that there may be some women who develop recurrent SUI.

Learning Objectives:

  • Compare outcomes with the use of transobturator and retropubic midurethral slings for the treatment of SUI
  • Explore the unique adverse events associated with midurethral slings
  • Discuss surgical approaches to the management of recurrent SUIs

Mesh Removal Debate

Friday, October 6 | 8:15 am - 8:45 am
Speakers: Miles Murphy, MD, MSPH and Roger Dmochowski, MD
Moderator: Christopher Tarnay, MD

The debate regarding optimal management of a patient who have mesh placed and subsequent functional and/or consequences and complications is ongoing. The complexity of functional outcomes related to pelvic floor interventions clearly makes management of mesh complications a multi-factorial undertaking inclusive of optimization of medical, surgical, and social circumstances to benefit the patient. Topics will include the participants' views on what symptoms are attributed directly to mesh, how much needs to be removed, and the impact of mesh removal on future pelvic floor function. 

Learning Objectives:

  • Enumerate the potential outcomes that may arise from any intervention for pelvic mesh complications
  • Discuss optimization of management and counseling related to interventions for mesh complications
  • Describe the pros and cons of partial versus complete mesh excision for mesh-related complications
  • Gain insight into the best diagnostic approaches for evaluation of patients with complaints/concerns after mesh implantation

Prevention of Urinary Incontinence: A Behavioral and Basic Science Perspective 

Friday, October 6 | 11:00 am - 11:45 am
Panelists: Catherine Bradley, MD, MSCE; Marianna Alperin, MD, MS and Gina Northington, MD, MPH
Moderator: Una Lee, MD

Insights on How to Navigate Product Controversy 

Saturday, October 7 | 9:30 am - 10:15 am
Speakers: Julie Cantor MD, JD; Patrick Culligan, MD and Alan Garely, MD 
Moderator: Cheryl Iglesia, MD

What Are Urogynecologists Going to Get Paid and How?

Saturday, October 7 | 12:30 pm - 1:30 pm
Panelists: Jonathan Gleason, MD;  Mitchell Schuster, MD and Samantha Pulliam, MD